Organization
BHG LXXIV, LLC
Active
Parent organization
BHG LXXIV, LLC
Other names
BHG Medical Services - Missouri
Organization subpart
Yes
Provider details
NPI number
Legal business name
BHG LXXIV, LLC
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
1369 N WESTWOOD BLVD STE C, POPLAR BLUFF, MO 63901-3313
(573) 722-7937
(573) 785-0346
Mailing address
5001 SPRING VALLEY ROAD, SUITE 600 EAST, DALLAS, TX 75244
(214) 365-6100
(214) 365-6150
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/26/2024
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